Individual provider Active NPI

Amanda D Heppner, LMT

  • Massage Therapist
  • Worden, MT
National Provider Identifier
1124599907
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
2504 N 14TH Rd
Worden, MT 59088-2116
Phone
(406) 861-9825
Fax
(406) 206-0064
NPI assigned
Dec 5, 2018
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 158333 OK
Massage Therapist 225700000X 60914214 WA
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

2504 N 14TH Rd
Worden, MT 59088-2116

Mailing address

2504 N 14TH Rd
Worden, MT 59088-2116
Phone (406) 861-9825

Other identifiers 2

IdentifierTypeStateIssuer
158333OtherOKMASSAGE THERAPY
60914214OtherWAMASSAGE THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
158333OKMDMassage Therapist
60914214WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Analaigh Heals Massage Therapist CurrentSince Aug 28, 2022 Accepting new patients
Harbor Youth and Family Counseling PastSince Jan 1, 2020 Accepting new patients
Tacoma Chiropractic Health Connection PastSince Apr 1, 2007 Accepting new patients
E1Spine PLLC Massage Therapist PastSince May 24, 2020 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1124599907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 N 14TH RD",
            "city": "WORDEN",
            "state": "MT",
            "postal_code": "590882116",
            "telephone_number": "406-861-9825",
            "fax_number": "406-206-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 N 14TH RD",
            "city": "WORDEN",
            "state": "MT",
            "postal_code": "590882116",
            "telephone_number": "406-861-9825",
            "fax_number": "406-206-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPNER",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OK",
            "license": "158333",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60914214",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "158333",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "60914214",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worden, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.